When to use the ERM-14 form

You’ve probably heard of the ERM-14 form, but do you know why and when to use it?

The ERM-14 form is generally used to report changes in ownership resulting from sales, mergers and other events.

Why the ERM-14 form is important

There are a couple of reasons why filling out the form promptly is so important, including:

  • It ensures that the state can provide accurate proof of workers’ compensation coverage
  • It provides the state data collection organization information needed to determine combinability of multiple entities


Proof of coverage:
When we issue a workers’ compensation policy, we send the information to the state’s data collection organization, and they give the policy¬≠holder information to the state for proof of coverage reporting. If the employer’s name or entity type changes, the proof of insurance coverage might not get reported accurately. As a result, the employer may receive a letter from the state asking for proof of coverage. Filling out the ERM-14 form to provide proper notification of a name or entity type change can help avoid confusion.

Combinability: Entities that share majority ownership can share one workers’ compensation policy and e-mod. When a business goes through a change that impacts the ownership structure, this can affect whether it’s combinable. The state data collection organization makes this determination based on the information provided on the ERM-14 form.

When to submit an ERM-14 form

Complete an ERM-14 form in the event of a:

  • Name and/or legal entity change
  • Sale, merger, acquisition, or transfer of assets
  • Successor entity being formed to operate alongside of an existing business, or to take over the operations


You should submit an ERM-14 form if one of the above changes has occurred regardless of whether the employer is experience rated. If you need a copy of the form, visit the agents section of sfmic.com.

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